Evidence map›Paper›PMID 40604467›Full record

ArticleBMC pregnancy and childbirth2025

Analysis of variables affecting postpartum quality of life: their relative influence and interrelationships.

Carmen Paz-Pascual, Isabel Artieta-Pinedo, Paola Bully, Ema-Q Group, Maite Espinosa

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carmen Paz-PascualPrimary Care Midwife OSI Barakaldo Sestao. Osakidetza., Basque Country, Spain. mariacarmen.pazpascual@osakidetza.eus.ORCID http://orcid.org/0000-0001-9170-0667
Isabel Artieta-PinedoPrimary Care Midwife OSI Barakaldo Sestao. Osakidetza., Basque Country, Spain.ORCID http://orcid.org/0000-0002-4297-2495
Paola BullyPaola Bully. Methodological and Statistical Consulting. Sopuerta, Bizkaia, Spain.ORCID http://orcid.org/0000-0002-9304-1068
Ema-Q GroupResearch Group on Primary health care, prevention and chronic diseases, Servicio Vasco de Salud-Osakidetza. Basque Country, Basque Country, Spain.
Maite EspinosaBiocruces Bizkaia Health Research Institute, Plaza de Cruces 12. 48903. Barakaldo, Bizkaia, Spain.ORCID http://orcid.org/0000-0003-4886-3270

Funding

Biocruces Bizkaia es el Instituto de Investigación Sanitaria BCB/I/LIB/23/14Eusko Jaurlaritza 2018111087Instituto de salud Carlos III PI13/02632
6 · The paper itself

Abstract

backgroundThe postpartum period is a time of special vulnerability and unacceptably high morbidity for the mother, which warrants in-depth study. The objective of this study is to analyze the variables affecting quality of life (QoL) during the first six months postpartum, their relative influence, and the relationships between them.

methodsCross-sectional study with the participation of 289 postpartum women, who answered the digital questionnaires: SF-12 for QoL; EMAeHealth for self-management of health in the postpartum, which assesses: incontinence, sexuality, breastfeeding, adaptation to the maternal role and mental health; and "Prescribe Healthy Life" Screening Questionnaire, which measures diet, exercise and consumption of toxic. To analyze the relationship between the variables and their relative influence on QoL, a structural equation model was built.

resultsDepression (β=-0.640; 90%CI: (-0.670)-(-0.505); p = 0.006), partner support (β = 0.331; 90%CI:0.217-0.424; p = 0.003), parental self-efficacy (β = 0.219; 90%CI:0.134-0.309; p = 0.001) and physical QoL (β=-0.223; 90%CI: (-0.294)-(-0.142); p = 0.002) are related to the mental dimension of QoL. Partner support also influences the breastfeeding self-efficacy (β = 0.28; 90%CI:0.197-0.373; p = 0.002), sexual satisfaction (β = 0.48; 90%CI:0.38-0.56; p = 0.03), body dissatisfaction (β=-0.155; 90%CI: (-0.27)-(-0.04); p = 0.031), and parental self-efficacy (β = 0.170; 90%CI:0.027-0.344; p = 0.045), which indirectly affect QoL. Depressive symptoms (β=-0.126; 90%CI: (-0.218)-(-0.026); p = 0.044) and smoking (β=-0.224; 90%CI: (-0.314)-(-0.132); p = 0.002) affect the physical component of QoL.

conclusionsThis study explains the influence of the variables involved in QoL after childbirth and their interrelationship, providing a graphical representation that facilitates a comprehensive understanding. This knowledge forces us, as midwives, to review perinatal and postpartum care with the aim of paying special attention to partner support and depressive symptoms.

Indexed as

Postpartum PeriodQuality of LifeAdultBreast FeedingCross-Sectional StudiesDepression, PostpartumFemaleHumansMental HealthSelf EfficacySocial SupportSurveys and QuestionnairesYoung AdultMental quality of lifePhysical quality of lifePostpartumQuality of life

Identifiers

PMID40604467
PMCPMC12218815

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.